Chronic Heart Failure From a Traditional Chinese Medicine Perspective

Chronic heart failure (CHF) is a complex clinical syndrome caused by various heart conditions that lead to impaired cardiac function. It represents the final stage of many cardiovascular diseases and is characterized by a progressive decline in heart performance.

Understanding Chronic Heart Failure in Traditional Chinese Medicine

In Traditional Chinese Medicine (TCM), chronic heart failure is classified under several syndromes such as palpitations, dyspnea, phlegm retention, edema, chest obstruction, and "Zheng Chong" (a term used to describe irregular heartbeats or a sense of fear and anxiety). It is often viewed as a complication arising from long-standing cardiovascular issues.

Modern Medical Approaches vs. TCM Perspectives

Contemporary medical treatments focus on delaying or preventing ventricular remodeling, improving prognosis, and enhancing patients' quality of life. However, due to the prolonged nature of CHF and its complex etiology, TCM offers a holistic approach that addresses both the root and the manifestations of the disease.

TCM Pathology and Treatment Principles

According to TCM theory, chronic heart failure primarily stems from a deficiency in heart yang and vital energy, often linked to kidney yang insufficiency and weakened primordial qi. This deficiency leads to blood stasis, internal accumulation of fluid and phlegm, and impaired transformation of bodily fluids, resulting in a condition marked by a combination of deficiency and excess.

The syndrome is considered a "Ben Xu Biao Shi" condition — where "Ben Xu" refers to an underlying deficiency, particularly of the heart's yang energy, and "Biao Shi" indicates the presence of excess pathogenic factors such as blood stasis, fluid retention, and phlegm obstruction.

Therapeutic Benefits of TCM

Traditional Chinese Medicine has demonstrated notable effectiveness in managing chronic heart failure by addressing both the root causes and symptomatic manifestations. Treatment strategies often include tonifying heart yang and kidney qi, promoting blood circulation to remove stasis, and regulating fluid metabolism to resolve phlegm and edema. This integrative approach not only alleviates symptoms but also supports long-term cardiac function and overall well-being.